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Old 04-30-2008, 03:50 PM   #1
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Angry Gc/ms Drug Test Please Help/ Scared

I have been on methadone for 3 years and it has helped me get off hydros. I recently went to my pm doc for a script and they made me take a urine drug screen that reflexes to gc/ms. I took some hydro the night before that was not prescribed from that DR.

How do these tests report, what should I tell my doc? I am so upset because I have been doing great with my methadone, I don't even like hydros, but when i can't get my Methadone in time it eases the w/d

 
Old 04-30-2008, 04:05 PM   #2
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Re: Gc/ms Drug Test Please Help/ Scared

Why are you on methadone?

If it's for addiction than you would be better off posting to the Addiction board.

steve

Oops - I didn't see the reference to "PM." Still, are you on methadone for pain or for addiction (opioid maintenance)?

Last edited by forginon; 04-30-2008 at 04:06 PM.

 
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Old 04-30-2008, 04:09 PM   #3
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Re: Gc/ms Drug Test Please Help/ Scared

Assuming you're on methadone for pain, then this is the right place.

The hydro converts to hydromorphone after it's metabolized. This should for sure show up on the urine screen.

I wouldn't say anything until after the test results are in. If the hydro is found then the truth is what's needed. That's always the case anyway.

Why did you need the hydro for withdrawals? Did you run out early or did your doc not provide the script for methadone in time?

steve

 
Old 04-30-2008, 04:13 PM   #4
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Re: Gc/ms Drug Test Please Help/ Scared

pain

didn't get script on time

 
Old 05-01-2008, 01:19 AM   #5
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Re: Gc/ms Drug Test Please Help/ Scared

did you say they already gave the test and it was a urine test? If so, they probably had the results in a few minutes, even before you left. If something had shown up they would have said something, or probably called you or sent a letter immediately, if it's been over a week, I would say you are probably okay.

The only way to be successful in PM is to be as honest and as compliant as possible. If I were you, I would flush any remaining narcotics you have that were not prescribed by your current doctor, then you dont have to worry about tests. If you need a dose increase or want a different med, then ask the doctor first, its really the only way to insure treatment long term, not to mention the fact that it can save your life from accidental overdose or drug interaction.

HTH, Fabby

 
Old 05-01-2008, 05:58 AM   #6
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Re: Gc/ms Drug Test Please Help/ Scared

I wish that where the case, but it was sent to a lab the does gc/ms.

I'm sure I'll get a call in a few days, in the meantime I have been having terrible anxiety!

 
Old 05-01-2008, 07:00 AM   #7
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Re: Gc/ms Drug Test Please Help/ Scared

How much did you take? Have you been seeing this Doc for the 3 years you've been on methadone? What reaction do you think your Doc will have....ie. what is his/her general disposition? Have you failed a UA before with this Doc? Some more info will help before I can give my opinion.

Thxs.

Ex

 
Old 05-01-2008, 07:13 AM   #8
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Re: Gc/ms Drug Test Please Help/ Scared

the doc is VERY understanding, I have never been given or failed a urine test but i am sure something is going to show gc/ms is very detailed from what i hear

the doc was out of the office so in order for the doc on staff to write my script he made me take a gc/ms screen, i should have declined but I panicked and wanted to get my medicine

i have a good rapport with everyone in the office, staff included. I am so embarrassed that they will see my lab report and probably classify me as a bad patient i never want to show my face again.

this has caused so much distress for one stupid mistake on my part. if anyone has had a gc/ms experience and can share please do, i need some support!!

thank u

 
Old 05-01-2008, 09:18 AM   #9
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Re: Gc/ms Drug Test Please Help/ Scared

What my new doctor said to me the first visit, and I consider him to be much stricter than my old doctor, was that I would be spot checked with a urine test, which I have been, and if my levels were off or there was another problem, he would work with me, but if there were illegal drugs in my system, that was it, see ya, wouldnt wanna be ya, lol.

So the good news is that you dont have any kind of street drug in your system which would probably be grounds for immediate dismissal.

Where did you get the hydro? had you had it for a long time, like from an old dentist appointment, or something? I would be prepared to let him know exactly where (and when) you got it.

Second, how much did you take? was it one dose, or had you been taking them for days? that might matter, using an old prescription as a one time breakthough med is not 100% kosher, but its not as bad as taking them every day for a week. Hydro has a pretty short life in urine, about 3-4 days, unlike some things such as THC (pot) which can show up in urine for a month. ( My sister is in law enforcement so I know some of this)

I am still not 100% clear on why you took the hydro, were you unable to fill your prescription on time, or did you run out a little early and suppliment to avoid withdrawal?

I dont think you are just for sure out on your ear, but honesty and full disclosure with the doctor is very important from this point on.

Good luck, Fabby

 
Old 05-01-2008, 09:35 AM   #10
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Re: Gc/ms Drug Test Please Help/ Scared

I ran out

what do u mean by levels being off?? i was tested the next day after i took the hydro around 11 pm at night and tested at 3:30 in the afternoon the next day.

this doc put me on methadone so i would stop the hydros, they where taking over my life with depression

he has been so proud of my progress, I am 100% improved from when i saw him the first time, but I feel like this is a HUGE set back and I dont know how to face him or the office staff.

thanks for all ur help

 
Old 05-01-2008, 09:49 AM   #11
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Re: Gc/ms Drug Test Please Help/ Scared

Sounds like you have an understanding Doc and he will probably work with you. You'll have to fess up though. I feel quite sure the test will show the hydro. As Fabby says, there is about a 3 day window. Hopefully, you didn't take much. If it was just one or two pills, you may escape all together....There is a "threshold" of which the amt of drug in your system must be over in order to show "positive." Drug screeners use this threshold whereas to not falsely accuse someone....It's usually the same screening method used for pre-employment, insurance exams, & etc. With a reasonable threshold, no one has to worry about eating too many poppy seeds on their hamburger buns & etc. Thus, you may escape if your metabolism is fairly good....If your hydro level is below the threshold, it will comeback as "negative." However, if you took a pretty good dose, it will show up.

PM Docs also employ UAs to ensure you're taking the meds being scripted and not diverted. The absence of your meds will also get you discharged....Unless you tell them upfront you haven't taken them for a few days. This is why the nurses ask those questions before a UA.

The UAs break down the results by drug....They separate out Hydros, Oxys, fent, codeine, & etc....Then, they also test for Meth, Coke, Pot, & etc. As Fabby says, illegals are obviously the worst. However, some Docs won't forgive a prescription drug in your system that they didn't prescribe.

PM Protocol calls for the Doc to meet with any patient who "fails" a UA...To discuss the outcome and if by chance there is some reasonable explanation. Sounds as if your Doc will do at least this and if caught, you will have to fess up and be honest. Since he knows about your past, he may be forgiving of your re-lapse. Many would not, however.

It's also important to note that some Docs don't give patient the courtesy of a visit....They simply discharge them via a certified letter or nurse phone call. I completely disagree with this method, but some do employ it.

Good luck and hope everything turns out ok for you.

Ex

 
Old 05-01-2008, 10:23 AM   #12
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Re: Gc/ms Drug Test Please Help/ Scared

i'm not too worried about about being discharged as I am the embarrassement of it all. i just don't want to face him or the staff, infact the nurse giving me the test said, don't worry we now you are a "good" patient. and she referenced patients taking oky's when they are presciribed vicodins and the tests showing that.

in fact now i am even more scared because i took my methadaone on Friday night and they test was Monday........ I hope to god the methadone shows. they never asked me when the last time i took a dose was.

it's bad enough the pharmacy looks at me funny when i drop off my rx for methadone, but now I feel like all the staff and nurses at my doc are going to look down on me!

thnks for all your info and help

 
Old 05-01-2008, 11:42 AM   #13
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Re: Gc/ms Drug Test Please Help/ Scared

I'm almost certain the methadone will show up on your test results. This med gets stored in your body's tissues and it takes a really long time for it to stop showing up. Usually these tests are simply looking for the presence of particular meds, most often illegal drugs and the meds you are supposed to be taking. Rarely do they look for amounts, but it can be done. If they're just screening for drug presence you're OK - if they are measuring amounts then the methadone may appear low.

I'm sorry if you've already answered this, but did the doc's office simply get you the script for the methadone too late?

steve

 
Old 05-01-2008, 12:10 PM   #14
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Re: Gc/ms Drug Test Please Help/ Scared

I ran out a day early and he is only in twice a week

doesn't gc/ms detect levels??

 
Old 05-01-2008, 12:35 PM   #15
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Re: Gc/ms Drug Test Please Help/ Scared

Yes Gc/ms will show levels of each drug. That's the type of test they do randomly here at work.

I'm sure the methadone will show up on the test since it is long acting. It may not be at the level the doctor expects to see as it is not a PRN medication. I ran out of my Oxycontin two days early one time and was drug tested. My doctor did not say anything to me after the test. Then again, I was not taking anything she had not prescribed.

As others have stated, if you are below the cut-off limits with the hydrocodone, it will not show up as a positive test. I would worry more about the hydro vs. the Methadone. I would just be honest and tell the doctor that it was an old prescription and to stay out of withdrawl, you had to take it. Maybe you need to be on a higher dose of Methadone if you ran out early? This does not sound like a big issue to me. I'm sure they will be understanding. Some doctors make a bigger deal out of it than others. It sounds like you have a pretty understanding doctor that will not throw you under the bus. Good luck and let us know how you come out.

 
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